Mesilla Valley Sleep Lab, LLC

Primary specialty

Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X

Legal business name

MESILLA VALLEY SLEEP LAB, LLC

Practice address

1155 Commerce Dr
Suite G
Las Cruces, NM 88011-8257

Phone

(575) 532-7000

Fax

(575) 532-7006

NPI assigned

Aug 15, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Mario Zamora, RRT

Title

Clinincal Manager

Phone

(575) 647-5337

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1891808077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 COMMERCE DR STE G",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118257",
            "telephone_number": "575-647-5337",
            "fax_number": "575-647-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 COMMERCE DR",
            "address_2": "SUITE G",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118257",
            "telephone_number": "575-532-7000",
            "fax_number": "575-532-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MESILLA VALLEY SLEEP LAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "ZAMORA",
        "authorized_official_first_name": "MARIO",
        "authorized_official_title_or_position": "CLININCAL MANAGER",
        "authorized_official_telephone_number": "575-647-5337",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RRT"
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "00NM007G71",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN HEALTH PLAN",
            "identifier": "95316",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carmen Dorothea Metildi, M.D.
• Leonard Angelo Metildi, M.D.

• Sleep Disorder Diagnostic Clinic/Center in Las Cruces, NM
• Providers in Las Cruces, NM by specialty
• Sleep Disorder Diagnostic Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.